Horton Cross Nursing Home

Updated 17 December 2025

We carried out a comprehensive assessment of Horton Cross Nursing Home between 5 January and 19 January 2026. We visited the home on 7 January and 13 January 2026. This was a planned assessment where we followed up on a previous breach of legal regulation in relation to governance and to check sustained improvements since the last rating of requires improvement. This assessment found improvements had been made, and the provider was no longer in breach of this regulation.

The service provides nursing care for up to 47 people, including older adults and people living with dementia. At the time of our visit, the service supported 34 people.

Since the last assessment, the provider and the new registered manager have made significant improvements across all five key questions, embedding a culture of safety, strong leadership, and person-centred care. The registered manager had a clear vision for improvement and was praised by staff and relatives for creating a positive culture. Governance systems were embedded, with regular audits and action plans. Staff felt supported and confident to raise concerns. The provider maintained oversight through quality audits, and there was strong engagement with people and families via meetings, newsletters, and surveys.

The provider remains committed to continuous improvement and sustainability. Clinical governance was robust, with regular audits and strong multidisciplinary working.

Staff training compliance was high, and staff were well supported.

The environment had been extensively refurbished, creating a welcoming and homely atmosphere. Bedrooms and communal areas have been redecorated, new flooring installed, and safety measures such as keypad access and door alarms introduced. Gardens have been revitalised, and communal spaces now include a café-style refreshment area for people and visitors.

Medicines were managed safely, with robust systems for ordering, administration, and monitoring. Medicines requiring additional security were audited weekly, and covert medicine decisions were made in line with best interest principles.

Infection prevention and control measures were effective, and staff had completed relevant training. Individual risk assessments were reviewed regularly, and actions were taken promptly to reduce risks, such as purchasing additional pressure-relieving mattresses and introducing clear guidance for mattress settings. Fire safety arrangements were in place, with practical drills and personal emergency evacuation plans in place.

People’s nutritional needs were met, and improvements to the dining experience were evident between the first and second day of the assessment. Staff supported people to make choices and promoted independence, for example by offering finger foods.

People and relatives consistently praised staff for their kindness and compassion. We observed positive interactions and a culture that promoted dignity and respect. End-of-life care was handled sensitively, with staff forming a guard of honour when a person passed away, a practice valued by families.

Care plans were person-centred and regularly reviewed. The service used a “resident of the day” approach to ensure holistic reviews of their care and environment. Activities were varied and meaningful in the communal area, supported by an activity coordinator and volunteers. Life story work was underway to further personalise care. This would ensure people who stayed in their rooms received personalised social support.

Complaints were managed appropriately, though records could be clearer about how outcomes were communicated.

Updated 17 December 2025

People told us they felt safe, well cared for, and respected at Horton Cross Nursing Home. Feedback from people and relatives was overwhelmingly positive, describing the home as welcoming, clean, and supportive. Many said staff were “Kind and caring” and that the registered manager had “Turned the place around,” creating a calm and homely environment. People spoke about feeling part of a community and valued as individuals. People said they felt safe and trusted staff. One person told us, “I feel happy here, the staff make me feel safe.” A relative said, “They always ring me if there’s anything wrong. It’s excellent.” People had access to call bells, and most people reported timely responses. Relatives confirmed staff knew people’s needs and acted promptly if concerns arose. Staff were described as approachable, and people felt confident raising issues. People and families praised the registered manager’s visibility and open-door approach.

People enjoyed a range of activities, including games, music, baking, and seasonal events. One person said, “We watch a film in the afternoon and get a choice of activities. I enjoy them.” Another relative told us, “Activities are very good, classes, games, jigsaw puzzles, and even animals visiting.” The introduction of resident ambassadors created a sense of inclusion and purpose. People told us they liked the food and could choose alternatives if needed. One person said, “The food is excellent. I get a choice and can choose something else.” Our observations over the 2 days showed improvements in the dining experience, with a welcoming atmosphere, music, and attentive support. Drinks and snacks were available throughout the day. People and relatives said there were enough staff and that staff worked well together. One person told us, “It’s like a family here, and I know them very well.” Staff supported people to maintain independence, for example by offering finger foods to promote dignity. People said staff took time to listen and involved them in decisions about their care. Relatives confirmed they were kept informed and felt included in planning.

On the first day of assessment, the dining experience lacked atmosphere and consent was not always sought before using clothing protectors. The provider acted promptly, and by the second day the dining room was improved, with music playing and staff engaging positively. Some care plans for end-of-life wishes were clinical and are being updated to reflect personal preferences. Overall, people’s feedback and observations reflected a caring, inclusive culture where staff prioritise dignity, choice, and wellbeing. Improvements made under the current leadership have enhanced people’s experience and created a home where they feel safe, respected, and supported